UPSI Digital Repository (UDRep)
|
|
|
Abstract : Universiti Pendidikan Sultan Idris |
While fatty acids found in human milk account for half of the energy consumed by exclusively breastfed infants, fatty acids such as monounsaturated fatty acids (MUFA) and long chain polyunsaturated fatty acids (LC-PUFA) plays critical roles in infant growth. Fatty acids components in human milk are vary widely accordance to the maternal diet during lactation but has not been sufficiently studied. The objective of this paper was to determine the correlation between maternal macronutrient intake with human milk’s fatty acids composition among exclusively breastfeeding mothers. A total of N=36 lactating mothers were recruited based on convenience sampling basis from Dengkil, Selangor and Kuantan, Pahang. A 24-hour dietary recall (24HR) was used to capture mother’s dietary intake in the past 24 hours. The human milk sample was collected in the next day morning after the diet recall and stored before proceeded to another fatty acids extraction and transesterification process namely Blight and Dyer method. The composition of fatty acids methyl esters was analyzed and quantified by a gas chromatography (Agilent 7890A), equipped with a flame ionization detector (FID) and Agilent Chromatography Workstation software. As overall, the most abundance fatty acids found was SFA ranged (81.90 to 97.7 %) followed with MUFA (2.3 to 18.1%), but PUFA was below detection limit (BDL). Result also indicated that palmitic, stearic, and oleic acids were the three major types of fatty acids determined from human milk. Correlational study also determined that, there was no significant correlation between the human milk’s SFA and MUFA with the same dietary intake and another macronutrient like carbohydrate and protein. Even though there was no significant correlation determined for the most composition, various pattern of correlation was found in the study. Human milk’s SFA only had a positive correlation with dietary carbohydrate but negative with the rest. Different pattern also showed for human milk’s MUFA which only negatively correlate with carbohydrate and fats while positive for the rest. Thus, overall, this fat composition is known to have higher variation in terms of concentration of its components compared to another macronutrient even within the same population. Aside from geographical considerations, maternal nationality and age have a substantial impact on the fatty acid composition of human milk. |
References |
Ballard, O., & Morrow, A. L. (2013). Human Milk Composition: Nutrients and Bioactive Factors. Pediatric Clinics of North America, 60(1), 49–74. http://doi.org/10.1016/j.pcl.2012.10.002
Ares, S.S., Arena, A.J., Marta, D.N. (2016). The Importance of Maternal Nutrition during Breastfeeding: Do Breastfeeding mothers need nutritional supplements? An Pediatr (Barc.):84 (6): 347.e1-347.e7. http://doi:10.1016/j.anpedi.2015.07.024
Lauritzen L, Carlson SE (2011) Maternal fatty acid status during pregnancy and lactation and relation to newborn and infant status. Matern Child Nutr S2:41–58. doi:10.1111/j.1740-8709.2011. 00303
Antonakou A, Skenderi KP, Chiou A, et al. Breast milk fat concentration and FA pattern during the first six months in exclusively breastfeeding Greek women. Eur J Nutr 2013; 52:963–73.
Liu G, Ding Z, Li X, et al. Relationship between polyunsaturated FA levels in maternal diets and human milk in the first month post-partum. J Hum Nutr Diet 2016; 29:405–10.
Ruby P; Stephen T. Holgate; G. Walter Canonica; Richard F. Lockey; Michael S. Blaiss (2013) WAO White Book on Allergy 2013 Update. ISBN-13: 978-0-615-92916-3
Koletzko B. (2016). Human Milk Lipids. Annals of nutrition & metabolism, 69 Suppl 2, 28–40. https://doi.org/10.1159/000452819
Bzikowska-Jura, Agnieszka & Czerwonogrodzka-Senczyna, Aneta & Weker, Halina & Wesolowska, Aleksandra. (2018). Correlation between human milk composition and maternal nutritional status. Roczniki Państwowego Zakładu Higieny. 69. 363-367. 10.32394/rpzh.2018.0041.
Butts, C. A., Hedderley, D. I., Herath, T. D., Paturi, G., Glyn-Jones, S., Wiens, F., Stahl, B., & Gopal, P. (2018). Human Milk Composition and Dietary Intakes of Breastfeeding Women of Different Ethnicity from the Manawatu-Wanganui Region of New Zealand. Nutrients, 10(9), 1231. https://doi.org/10.3390/nu10091231
Sinanoglou, Vassilia & Cavouras, Dionisis & Boutsikou, Theodora & Briana, Despina & Lantzouraki, Dimitra & Paliatsiou, Stella & Volaki, Paraskevi & Bratakos, Sotiris & Malamitsi-Puchner, Ariadne & Zoumpoulakis, Panagiotis. (2017). Factors affecting human colostrum fatty acid profile: A case study. PLOS ONE. 12. 10.1371/journal.pone.0175817.
Aumeistere, L., Ciproviča, I., Zavadska, D., Andersons, J., Volkovs, V., & Ceļmalniece, K. (2019). Impact of Maternal Diet on Human Milk Composition Among Lactating Women in Latvia. Medicina (Kaunas, Lithuania), 55(5), 173. https://doi.org/10.3390/medicina55050173
Huang, Z., Hu, Ym. Dietary patterns and their association with breast milk macronutrient composition among lactating women. Int Breastfeed J 15, 52 (2020). https://doi.org/10.1186/s13006-020-00293-w
Abdul Basir, Siti Munirah & Abdul Ghani, Radiah & Ibrahim, Muhammad & Khattak, Muhammad Muzaffar Ali Khan & Omar, Muhammad & Shukri, Nor. (2019). Maternal diet and its association with human milk energy and macronutrient composition among exclusively breastfeeding Malaysian Malay mothers. Malaysian Journal of Nutrition. 25. 309-320. 10.31246/mjn-2019-0020.
Miliku, K., Duan, Q. L., Moraes, T. J., Becker, A. B., Mandhane, P. J., Turvey, S. E., Lefebvre, D. L., Sears, M. R., Subbarao, P., Field, C. J., & Azad, M. B. (2019). Human milk fatty acid composition is associated with dietary, genetic, sociodemographic, and environmental factors in the CHILD Cohort Study. The American journal of clinical nutrition, 110(6), 1370–1383. https://doi.org/10.1093/ajcn/nqz229
Keikha, M., Bahreynian, M., Saleki, M., & Kelishadi, R. (2017). Macro- and Micronutrients of Human Milk Composition: Are They Related to Maternal Diet? A Comprehensive Systematic Review. Breastfeeding Medicine, 12(9), 517–527. doi:10.1089/bfm.2017.0048
Rist L, Mueller A, Barthel C, Snijders B, Jansen M, Simoes-Wust AP,Huber M, Kummeling I, von Mandach U, Steinhart H, et al. Influence oforganic diet on the amount of conjugated linoleic acids in breast milk of lactating women in The Netherlands. Br J Nutr 2007; 97:735–43
Tiangson CLE, Gavino VC, Gavino G, et al. Docosahexaenoic acid level of the breast milk of some Filipino women. Int J Food Sci Nutr 2003; 54:379–386
Copp K, DeFranco EA, Kleiman J, Rogers LK, Morrow AL, Valentine CJ. Nutrition support team guide to maternal diet for the human-milk-fed infant. Nutr Clin Pract. 2018; 33:687–93.
Chen HJ, Wang P, Han YF, Ma J, Troy FA, Wang B. Evaluation of dietary intake of lactating women in China and its potential impact on the health of mothers and infants. BMC Womens Health. 2012; 12:18.
Mohammad, M. A., Sunehag, A. L., & Haymond, M. W. (2014). De novo synthesis of milk triglycerides in humans. American journal of physiology. Endocrinology and metabolism, 306(7), E838–E847. https://doi.org/10.1152/ajpendo.00605.2013
|
This material may be protected under Copyright Act which governs the making of photocopies or reproductions of copyrighted materials. You may use the digitized material for private study, scholarship, or research. |